Important Notice about Prescription Drug Coverage and Medicare

Patient Protection and Affordable Care Act Disclosure

2019 Anthem Renewal Information November 2018 Letter from Burke LaClair

2019 Anthem Summary of Benefits Blue MedicareRxSM (PDP)

2019 Anthem Group Retiree Plan F

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Information Sessions

Annually, we conduct informative sessions on understanding Social Security, Medicare and Elder Care Support Services. Information on upcoming sessions will be posted here. 

If you or a family member is nearing retirement, understanding the benefits and complex interplay between Social Security and Medicare will be essential in helping you make the most appropriate retirement and health care purchase decisions for you and your family.

Additionally, there are a number of resources and services available through the North Central Area Agency on Aging (NCAA) to help older adults and their families navigate the healthcare insurance system and social service networks.

There will be an Open Enrollment Period in effect from May 4 - May 29, 2020 for Board of Education employees eligible for participation in the Board of Education medical and dental insurance programs.

Employees who elected not to participate in these programs at the initial offering may enroll at this time. Employees may switch between the different insurance plans and may add dependents to their plans during this period. The effective date of these changes is July 1, 2020.

During the Open Enrollment period, an informational PowerPoint presentation is available on our website for those that have questions on our High Deductible Health Plan (HDHP) with a Health Savings Account (HSA). Employees can also contact our Payroll/Benefits Coordinator, Terri Heintz or our Payroll/Benefits Specialist, Jennifer Murphy to answer questions on Open Enrollment.

• View the 2020-21 High Deductible Health Plan (HDHP) with a Health Savings Account (HSA) PowerPoint informational presentation

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CIGNA Rate Information - If there are no changes to your health insurance coverage, you do not need to re-enroll for 2020-21.

For rate information, please see the Medical Insurance tab.

The perfect attendance program as established July 1, 1986 provides for earning one-half day off with pay for pre-determined three-month periods of perfect attendance for eligible employees covered by the SFEP, NAME or unaffiliated agreements. Absences for personal leave or vacation leave will not mar perfect attendance; absences for sick leave, suspension or tardiness will mar perfect attendance. If you have had perfect attendance for the recorded period(s), please complete the form below and return it with the appropriate signatures to the Employee Benefits office.

Vacation Day Carry-over Request Forms:

• NAGE
• Unaffiliated
• SFEP

All absences should be entered through the use of the Frontline Absence Management program.  No paper forms are being utilized.  Refer to your school secretary or Cindi Freilinger, Human Resources Coordinator, with questions.

Personal Day Codes/Guidelines

If you have questions regarding attendance records or would like to request an attendance report, e-mail your questions / requests to Terri Heintz, Employee Benefits Coordinator for Simsbury Public Schools.

Latest Cigna Newsletters (June 2020)

• Choice Fund HSA FAQs
• New ID Cards
• New Express Scripts Info
• Express Scripts FAQs
• Accredo Specialty Pharmacy

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Who’s In Charge – You – Cigna Choice Fund Health Savings Account (HSA)
You, Your Plan and the Knowledge to Make the Most of It

Informational Flyers (September 2019):

• Healthier Starts Here
• Overcome Whatever Life Sends Your Way
• Special Enrollment Requirements 
• Start a Healthy Relationship – Choose a PCP
• Dental – Restoring Your Teeth and Smile

Cigna Healthcare – Medical Insurance Information – New ID Cards

Effective July 1, 2020 - Medical Insurance Renewal, all employees and their dependents with medical insurance will be receiving new medical ID cards from Cigna.  Here is some important information regarding your new medical ID card:

• Use the new ID card you’ll get in the mail. It has important information on it the pharmacy needs to access your benefits and process your prescription.
• Throw away your old ID card. Use your old ID card until you get your new one. Once you get your new one, throw away the old one.
• Your pharmacists will need to use the BIN, PCN and Rx Group number on your ID card to access your benefits and process your claim.
• If you forget your ID card, you can access it using the myCigna.com app. You can also download and print a temporary Cigna ID card from the myCigna.com website.
• Remind your pharmacy to update their files. If a claim is denied, ask the pharmacy if they used the correct BIN and PCN numbers:  BIN – 017010 and PCN – 0215COMM
• Your next refill date may be different from what’s listed on your current pill bottle. The date will now be based on the timing of your last few fills.

Accredo is our new specialty pharmacy for those managing a complex medical condition that requires a specialty medication.

• 2020-21 MetLife Dental Plan Rates
• 2019-20 MetLife Dental Plan Rates
• Enrollment Form

MetLife 2020-21 Dental Insurance - If there are no changes to your dental insurance coverage, you do not need to re-enroll for 2020-21.

MetLife is the dental insurance plan carrier for Simsbury Public Schools. Dental services covered are divided into 4 categories:

(A)	Preventive & Diagnostic
(B)	Basic Restorative
(C)	Major Restorative
(D)	Orthodontic Services

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MetLife Dental Claim Form
Group Policy No: 1656128 / 0305879
Dental Call Center Telephone 1-800-942-0854

Website: www.metlife.com/mybenefits

Members can use this link for a list of providers, verify eligibility, plan design and to review claim status or claim history. Employees must enter "Simsbury Board of Education" as the company name.

P.O. Box 981282
El Paso, TX 79998-1282

 

Flu Clinic Consent

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Evening Fitness Classes with Susan Rubenstein

In non-COVID times, instructor Susan Rubenstein offers evening fitness classes at Eno Memorial Hall. To register, call (860) 658-3273 or visit www.simsburyseniors.com. Information will be posted here when available.

Yoga

The perfect class to help you de-stress after your busy day! 

Cardio Core Challenge

This class is designed to give you a cardio burst, strength training, weights and core work, all in one complete workout. 

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Fitness Program Offerings

Fall Into Fitness at G Fitness – 1 Month Unlimited Classes for $99! 
G Fitness is a studio in Simsbury that offers programs for individuals looking to promote weight loss and improve muscle toning; improve athletic performance; and rehab from injury or illness. They offer smaller class sizes, taught by certified personal trainers and fitness instructors with years of experience in the fitness industry. Classes are suited for all levels of fitness experience.  G Fitness offers Barre, Pilates, Strength, Interval Training, and kick-boxing classes as well as blended classes that combine focus such as Cardio Pilates and Barre Bootcamp.  Contact Gina Marecki at (860) 280-7591 for more information about the special offer for Town and Board of Education employees. More information is also available on the G Fitness website.

At G Fitness, we offer a workout experience that caters to our client’s individual needs. Our focus is on individual training and smaller group classes for a more personalized experience. Call for a free consultation and to start your wellness journey!

The Simsbury Board of Education adopted this Plan effective January 1, 2000. The intention of the Board of Education is that the Plan qualifies as a “cafeteria plan” within the meaning of Section 125 of the Internal Revenue Code of 1986 allowing eligible employees to use tax-free dollars to pay for certain kinds of benefits and expenses.

The Patient Protection and Affordable Care Act (PPACA), signed into law in March 2010, states that beginning January 1, 2011, over-the-counter (OTC) drugs or medicines not prescribed by a doctor will no longer be reimbursable under a Flexible Spending Account.

2020 Plan Highlights

Participation Fee (REDUCED) - Participation Fee is reduced to $5.00 per month. Annual cost is $60.00.

Health Care Account Maximum The FSA Health Care Account Maximum is $2,750 for 2020.

Metavante Benefits Card - The Flex Debit Card allows you to directly pay for your eligible flexible spending account expenses at the point of service. Manual claim reimbursements are also an option for eligible dependent or health care expenses.

Flex Grace Period Amendment - In an effort to ease the pain of the "use-it-or-lose-it" rule, the IRS has provided a two and one-half month grace period for amounts (called “temporary carry-over amounts) remaining in the flexible spending account (FSA) at the end of the plan.  The grace period will not exceed the 15th day of the third month after the end of the Plan Year (i.e., two-and-a-half months).

Limited Purpose Flexible Spending Account – All benefit eligible employees with a Health Savings Account (HSA) are eligible to participate in the Limited Purpose Flexible Spending Accounts. Generally, any dental or vision expenses considered to be tax deductible by the IRS under IRC 213(d) can be reimbursed through the Limited Purpose Flexible Spending Account. The Limited Purpose Flexible Spending Account allows eligible employees to be reimbursed for certain dental and vision services (not covered by their medical plan) on a pre-tax basis. The result, through proper use of the plan, can be more money in your pocket!

Participation in the FSA Health Care account will impact your eligibility to a Health Savings Account (HSA). If you or your employer on your behalf, actively contribute to an HSA account, or your spouse contributes to an HSA, you may not participate in the FSA Health Care Account.

For more information, click on the links below:

• Notice of Open Enrollment for Flexible Spending Accounts
• General Information and Mobile App Instructions
• Employee Communication: FSA-DCA Grace Period
• Eligible Expenses
• 2020 Enrollment Form
• 2020 Limited Purpose Enrollment Form
• 2020 Reimbursement Form

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Flexible Spending Accounts / Payroll Dates 2020

20 Payrolls

(No deductions taken from 3^rd payroll in a month)
(No deductions taken during summer months – July and August)

• January 2 and 16
• February 13 and 27
• March 12 and 26
• April 9 and 23
• May 7 and 21
• June 4 and 18
• (No Deductions taken during July and August)
• September 10 and 24
• October 8 and 22
• November 5 and 19
• December 3 and 17

 

Health Care Reform - State Insurance Exchange / Marketplace

• Information from the SPS Business Manager
• New Health Insurance Marketplace Coverage Options and Your Health Coverage
• ***Important Information about the new Form 1095-C***

Please contact the Business Office for Life & Long-Term Disability insurance information.

SEA	SSASA	NAGE	SFEP	SSNA	UNAFF. & NUTRITION Svcs.
2020-21 Rates	2020-21 Rates	2020-21 Rates	2020-21 Rates	2020-21 Rates	2020-21 Rates
2019-20 Rates	2019-20 Rates	2019-20 Rates	2019-20 Rates	2019-20 Rates	2019-20 Rates
PLEASE NOTE: Summaries listed below are for 2018-19. Updated summaries will be posted at a later date.
Summary of Benefits and Charges: PPO HMO HSA2 HRA2	Summary of Benefits and Charges: PPO HMO HSA2 HRA2	Summary of Benefits and Charges: PPO HMO HSA1 HRA1	Summary of Benefits and Charges: PPO HMO HSA2 HRA2	Summary of Benefits and Charges: PPO HMO HRA3	Summary of Benefits and Charges: PPO HMO HSA1 HRA1
Enrollment Form	Enrollment Form	Enrollment Form	Enrollment Form	Enrollment Form	Enrollment Form
Waiver of Medical Coverage (for ALL groups)

HIPPA Notice of Privacy Practices

Simsbury Notice of Privacy Practices:

As a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Regulation, the Simsbury Public Schools is required to provide you with a Notice of Privacy Practices. Under HIPAA guidelines, group health plans and flexible spending plans must notify participants about their Notice of Privacy Practices (NPP) at least once every three years. Simsbury Public Schools has distributed a copy of this notice to all participants. The complete copy of Simsbury Public Schools Notice of Privacy Practices is also available by clicking on the link below:

Simsbury Public Schools Notice of Privacy Practices

As explained in the complete privacy notice, Simsbury Public Schools is required by law to put in place reasonable measures that protect the privacy of your individually identifiable health information that is transmitted or maintained by the Plan in any form. This health information is considered protected health information (PHI). The type of health information maintained by Simsbury Public Schools includes the following: name, address, telephone number, birth date, names of relatives, social security number, e-mail address, fax number, income, health provider, physician notices, and copies of medical or dental claims. The NPP plan describes under what circumstances the Simsbury Public Schools may use and/or disclose health information about you and how you can access that information.

The NPP explains your rights to review copy or amend certain health information we have about you. The plan also outlines your rights to ask us to share your health information with certain individuals. The Authorization for Release of Health Information form [link not available] is available for personal requests.

THE DOCTORS TREATMENT CENTER of Granby will provide managed care services for all workplace injuries and illnesses.

A Medical Care Plan has been filed with and approved by the State of Connecticut Workers Compensation Commission. A network of quality medical providers that includes physicians, chiropractors, family/general practice, internal medicine, neurology, optometrists, physical /occupational therapists, orthopedic surgery, and radiology, all of whom are committed to providing prompt, efficient care.

Participation in the plan will be mandatory for all new injuries occurring on or after the effective date of the Medical Care Plan. The effective date of the Medical Care Plan is November 24, 2014.

Injured employees will be required to treat only with providers listed in the PPN. If treatment occurs outside the PPN, Workers' Compensation benefits shall be suspended (subject to the order of a Workers' Compensation Commissioner.)

You must immediately report all work-related injuries to your supervisor.

• If injured on the job - instructions
• 1st report of injury - form
• W/C Preferred Provide Network Notice
• W/C Notice to Employees
• CIRMA W/C Managed Care Program Employee Guide
• W/C Act Section 31-275 Definitions (link not available)
• Safety Committee Roster and Statement
• W/C Clarification Notice